Gourley E J, Schreiber M A, Gerhardt R T, Stewart T R
Departments of General Surgery and Emergency Medicine, William Beaumont Army Medical Center, El Paso, TX 79920-5001, USA.
Mil Med. 2000 Nov;165(11):870-4.
This study was performed to evaluate the performance of military rotary air medical transport in the El Paso, Texas, region with regard to mortality. A retrospective review of transport and inpatient medical records was undertaken. All trauma patients air transported from January 1, 1996, to February 28, 1998, were included. Patients for whom records were unavailable were excluded. Mean time intervals for prehospital and interhospital transport were calculated. Injury severity and survival data were calculated using Revised Trauma Score, Injury Severity Score, and Trauma and Injury Severity Score (TRISS) methodology. Two hundred sixty-seven patients were eligible for analysis (83% of the total). TRISS analysis predicted 241 survivors; the actual number of survivors was 241 (mean = 0.98, z = 0.03) despite the fact that 6 individuals died who were predicted to live and 3 individuals lived who were predicted to die. We conclude that the actual mortality rate of those patients transported by military aeromedical lift equaled that predicted by TRISS methodology.
本研究旨在评估德克萨斯州埃尔帕索地区军事旋转空中医疗运输在死亡率方面的表现。对运输和住院医疗记录进行了回顾性审查。纳入了1996年1月1日至1998年2月28日期间所有通过空中转运的创伤患者。记录不可用的患者被排除。计算了院前和院间运输的平均时间间隔。使用修订创伤评分、损伤严重度评分和创伤与损伤严重度评分(TRISS)方法计算损伤严重程度和生存数据。267名患者符合分析条件(占总数的83%)。TRISS分析预测有241名幸存者;实际幸存者人数为241人(均值 = 0.98,z = 0.03),尽管有6名预计存活的患者死亡,3名预计死亡的患者存活。我们得出结论,由军事航空医疗后送转运的这些患者的实际死亡率与TRISS方法预测的死亡率相等。